Olson T S, Seid A B, Pransky S M
Children's Hospital and Health Center, San Diego, CA.
Int J Pediatr Otorhinolaryngol. 1989 Feb;17(1):51-5. doi: 10.1016/0165-5876(89)90293-0.
Actinomycosis is an uncommon infection of the middle ear. Only 21 cases of actinomycosis of the middle ear have been reported in the English literature prior to this paper. The offending organism is Actinomyces israelii, which is an anaerobic, filamentous organism that is difficult to grow in culture. The infection is chronic and is seldom diagnosed prior to tympanomastoidectomy. The identification of small, yellow, glue-like masses, which are called sulfur granules, is often the key to making the diagnosis of actinomycosis of the middle ear. Following tympanomastoidectomy, penicillin is given orally for 3-6 months.
放线菌病是一种罕见的中耳感染。在本文发表之前，英文文献中仅报道过21例中耳放线菌病病例。致病微生物是以色列放线菌，它是一种厌氧的丝状微生物，很难在培养基中生长。这种感染是慢性的，在鼓室乳突切开术之前很少被诊断出来。识别被称为硫磺颗粒的小的、黄色的、胶状团块，通常是诊断中耳放线菌病的关键。鼓室乳突切开术后，口服青霉素3至6个月。
